Individual
KIMBERLY HENRITZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1306 W COLLIN RAYE DR, DE QUEEN, AR 71832-2502
(870) 648-4990
Mailing address
1306 W COLLIN RAYE DR, DE QUEEN, AR 71832-2502
(870) 648-4990
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A838
AR
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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